36C24419R0033-0002000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION

OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT

THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADM

INISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and d ate specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 3

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO

MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 03-18-2019 00244 Department of Veterans Affairs Network Contracting Office 4

00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24419R0033 03-08-2019

X X X

X

A. The purpose of this amendment is to post the question and answer document.

B. All other terms and conditions remain unchanged.

Mark Knorr Contracting Officer Questions and Answers 36C24419R0033 Onsite Urology Physician Services

1. Are there any incumbents? Yes, services are being currently provided by Call Solutions, LLC.

1. Do you have a list of required and preferred procedures? Robotic prostate/bladder/kidney procedures. Laparoscopic endourological procedures to include: upper tract ureteroscopy, management of stones, upper trac tumors, transurethral resection prostate/bladder tumors, vasectomies, vasovasostomies, transrectal ultrasound guided biopsies of prostate, ESWL, open urological procedures as needed. Female Urology.

1. What is the average number of calls during the weeknight? Weekend day? 2-4 calls per night

1. On average, how often is the provider called back in on the weeknight? Weekend? 2-4 callbacks per month with probable procedures.

1. How many other Urologists on staff? 1 part-time, non-surgical FTE at present.

1. Please confirm that all 4 Urologists will be working full-time, and will only be working at the Lebanon VAMC? No, it will be a rotation of providers to cover 24/7 – 365 On call, and 40 hours per week clinic time.

1. Please provide any incumbent information including; number of current providers on assignment, current contract value, current contractors name? Services are currently being provided by 3 physicians from Call Solutions, LLC on a one year contract with an estimated amount of $436,000.00.

1. Please confirm the patient visit volume. If correct in the solicitation, the average works out to 5 visits per day. Is that per doctor or for the whole clinic? For Urology Only 700-800 surgical cases per year – 7,000 (approx.) Encounters between 2.5 FTE in 2018 (only 1 FTE was surgical, therefore he did all the surgical cases).

1. Please confirm that the contractors on this opportunity will be the only doctors sharing the on-call responsibilities? Yes, the providers on this contract will share 24/7, 365 On-Call Coverage at the present time, however, we are soliciting for Full-Time providers and should we hire staff, they will share in the on-call coverage at the discretion of the government.

1. Will the doctors need to have experience with robotics? Yes, preferred as we are purchasing a DaVinci.

1. Must all the Urologist Physicians be US Citizens? Yes.

1. Do you want all the paperwork (CV, BLS, liability ins, DEA, etc.) for all the physicians that may possibly perform the work? I didn’t know if they were all considered key personnel? Yes, all physicians who may provide services under this contract are considered key personnel, so we would need the paperwork for all of them.